Hypertension is the Prominent Risk Factor in Cataract Patients
<i>Background and objectives:</i> The purpose of this study is to determine the impact of the most prominent cardiovascular and metabolic risk factors in patients undergoing cataract surgery. <i>Materials and Methods:</i> The study included 812 consecutive patients undergoing...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-08-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/55/8/430 |
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| author | Ioanna Mylona Maria Dermenoudi Nikolaos Ziakas Ioannis Tsinopoulos |
| author_facet | Ioanna Mylona Maria Dermenoudi Nikolaos Ziakas Ioannis Tsinopoulos |
| author_sort | Ioanna Mylona |
| collection | DOAJ |
| description | <i>Background and objectives:</i> The purpose of this study is to determine the impact of the most prominent cardiovascular and metabolic risk factors in patients undergoing cataract surgery. <i>Materials and Methods:</i> The study included 812 consecutive patients undergoing unilateral, uneventful cataract surgery by means of phacoemulsification, at the 2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Greece, during a calendar year. Patients were assessed for the type of cataract and the presence of three diseases, under pharmacological treatment, that have been reported as risk factors for the development of cataract (arterial hypertension, diabetes mellitus, and dyslipidemia). <i>Results:</i> There was a statistically significant difference between the types of cataract and individual risk factors (<i>p</i> < 0.001). Hypertension was the most frequentrisk factor, ranging from 43.8% in patients with subcapsular cataracts, 24.3% in patients with nuclear cataracts, 28.6% in patients with cortical cataracts, and 27.6% in patients with mixed type cataracts. There was a statistically significant difference as to the total number of risk factors per cataract type (<i>p</i> < 0.001); almost all patients with subcapsular cataracts had at least one risk factor (98.4%) while this percentage was 90.5% for patients with mixed cataracts, 85.7% for patients with cortical cataracts, and78.6% for patients with nuclear cataracts. <i>Conclusions:</i> Diabetes mellitus did not have a large incidence in our sample as a single risk factor, while hypertension did. This finding raises the importance of early detection of hypertension, a cardiovascular condition that typically progresses undetected for a number of years. |
| first_indexed | 2024-03-12T11:01:58Z |
| format | Article |
| id | doaj.art-eed4550fe9e84f4d8963ed33ca0cf3fe |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T11:01:58Z |
| publishDate | 2019-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-eed4550fe9e84f4d8963ed33ca0cf3fe2023-09-02T05:32:02ZengMDPI AGMedicina1010-660X2019-08-0155843010.3390/medicina55080430medicina55080430Hypertension is the Prominent Risk Factor in Cataract PatientsIoanna Mylona0Maria Dermenoudi1Nikolaos Ziakas2Ioannis Tsinopoulos32nd Department of Ophthalmology, Aristotle University of Thessaloniki, 564 29 Thessaloniki, Greece2nd Department of Ophthalmology, Aristotle University of Thessaloniki, 564 29 Thessaloniki, Greece2nd Department of Ophthalmology, Aristotle University of Thessaloniki, 564 29 Thessaloniki, Greece2nd Department of Ophthalmology, Aristotle University of Thessaloniki, 564 29 Thessaloniki, Greece<i>Background and objectives:</i> The purpose of this study is to determine the impact of the most prominent cardiovascular and metabolic risk factors in patients undergoing cataract surgery. <i>Materials and Methods:</i> The study included 812 consecutive patients undergoing unilateral, uneventful cataract surgery by means of phacoemulsification, at the 2nd Department of Ophthalmology, Medical School, Aristotle University of Thessaloniki, Greece, during a calendar year. Patients were assessed for the type of cataract and the presence of three diseases, under pharmacological treatment, that have been reported as risk factors for the development of cataract (arterial hypertension, diabetes mellitus, and dyslipidemia). <i>Results:</i> There was a statistically significant difference between the types of cataract and individual risk factors (<i>p</i> < 0.001). Hypertension was the most frequentrisk factor, ranging from 43.8% in patients with subcapsular cataracts, 24.3% in patients with nuclear cataracts, 28.6% in patients with cortical cataracts, and 27.6% in patients with mixed type cataracts. There was a statistically significant difference as to the total number of risk factors per cataract type (<i>p</i> < 0.001); almost all patients with subcapsular cataracts had at least one risk factor (98.4%) while this percentage was 90.5% for patients with mixed cataracts, 85.7% for patients with cortical cataracts, and78.6% for patients with nuclear cataracts. <i>Conclusions:</i> Diabetes mellitus did not have a large incidence in our sample as a single risk factor, while hypertension did. This finding raises the importance of early detection of hypertension, a cardiovascular condition that typically progresses undetected for a number of years.https://www.mdpi.com/1010-660X/55/8/430cataractarterial hypertensiondiabetes mellitusdyslipidemia |
| spellingShingle | Ioanna Mylona Maria Dermenoudi Nikolaos Ziakas Ioannis Tsinopoulos Hypertension is the Prominent Risk Factor in Cataract Patients Medicina cataract arterial hypertension diabetes mellitus dyslipidemia |
| title | Hypertension is the Prominent Risk Factor in Cataract Patients |
| title_full | Hypertension is the Prominent Risk Factor in Cataract Patients |
| title_fullStr | Hypertension is the Prominent Risk Factor in Cataract Patients |
| title_full_unstemmed | Hypertension is the Prominent Risk Factor in Cataract Patients |
| title_short | Hypertension is the Prominent Risk Factor in Cataract Patients |
| title_sort | hypertension is the prominent risk factor in cataract patients |
| topic | cataract arterial hypertension diabetes mellitus dyslipidemia |
| url | https://www.mdpi.com/1010-660X/55/8/430 |
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